Collection-form.



No. 702,487. v Patentedlune I7, |902. A. F. SfAIiFOIII'J.

COLLECTION FORM.y

. (Application filed. June`24,1901.) (No Model.) 4 sheets-sheet l.

.2%1 l v I l .E Due 1 I lhisreaeipt nel. goed ierplyemm lemmi Apr. J. 1801.

I I l For week ending May 4. 1901. l N. n-Airun take mee receipts iran Carrier.

Subscriber No. 200

How often Collected nur. 21

MBU 4 l PAID. Subscriber No.P 200 z, l suhecrlpnnn tu Journal and Tribune l i-or week ending Moy ll, 1901. raB -ewmkvuuNeuromul PAID. SnbscriberNmP 200 7 ,o subscription to Journal and Tribune l l-or week endiniz Muy 18. 100i. l il. 3.Aiways ille there receipt: Iren Q|rrier..

where Collected Mau u XMIU .25 Mau i8 m I l Subscription io Journal and Tribuna 7 For week ending Juno S. 1901.

1i. B.-Aiweyl Jake ihm receipt: im Carri".

| I! S-u-bscriber No. P 200 I l I suheerlpuen te Journal and Tribunev i-or week ending June l5, 1901. 1e-:uuu un una were om f l PAID, Subscriber N l Suhaerlpnen Je Journal and Tribune 5 l For week ending June 22, 190i.

l 1J. B.-Alwm take mere receipts Iren Gen/ier.

I l @mi lu WITNEESEE- INNEN-VUE;

'mz nofws PETERS no., vwo'muma. wAsmNaroN. D. c.

'Patented im I7, |902.

4 Sheet's-Sheet `2.

A. F. SANFORD. COLLECTION FORM.

(Application lsd 'Tune 24, 190l..)

(date ot Payment) THE NDRPUS PUEHS CD.. PNOYCLLITNDv4 WASHMOYDN. D. C.

NVB ...Enz

Paid in advance...

um Model.)

TIQIZ.

Patentedjune I7, |902.

' 4 Sheets-Sheet 3.

A. F. SANFORD.

COLLECTION FORM.

'IApplcation le'd June 24, 1901.1

(No Model.)

No. 702,487. Patented :une |7, |902.

A. F. SANFORD.

COLLECTIUN FORM.

(Application filed June 24, 1901.)

UNITED STATES .PATENT OFFICE.

ALFRED F. SANFORD, oF KNoxvILLE, TENNESSEE.

COLLECTION-FORM.

SPECIFICATION forming part of Letters Patent No. 702,487, dated June 17, 1902.

I Application iiled .Tune 24, 1901. Serial No, 65,786. (No model.)

T0 all whom, it may concern.-

Beit known that I, ALFRED F. SANFORD, a citizen of the United States, residing at Knoxville, `in the county of Knox and State of Tennessee, have invented certain new and useful Improvements in Collection-Forms; and ldo hereby declare the following to be a full,clear, and exact description of the invention, such as will enable others skilled in the art to which it appertains to make and use the same, reference being had to vthe accompanying drawings, and to letters of reference marked thereon, which form a part of this specification.

My improvement relates particularly to forms suitably printed for use in the collection of fixed amounts payable at stated times or for stated items by a number of custom ers.-

The invention provides a convenient means for giving receipts for payments made and for accurately vkeeping the accounts of persons employed in making collections.

f My improvement is also designed to reduce the labor of bookkeeping.

In the accompanyingdrawings,Figures 1 and 2 illustrate one of a group of sheets or leaves embodying a portion of my improvement. Fig. 2 is to be applied to Fig. 1 so that the lines o, b and c ci will coincide. (Said page is thus divided intotwo igures,because it cannot be conveniently placed upon one sheet.)

Fig.r3 illustrates an index of subscribers.'

Fig. i illustrates a cashiers record ofcollections. l

The drawings described relate to .forms to be used in the collection of subscriptions to a daily newspaper, said collections being due weekly during a period of -six calendar months.` From this illustration and the description relating thereto it willbe understood how my improvement may be applied for collections covering other periods of time and madeduring longer or shorter intervals and for other purposes.V

The form on the leaf shown by Figs. 1 and 2 is for collections to be made from one of a group of subscribers, and a group of forms is to be made up of such leaves, eachrepresentinga distinct subscriber. Each leaf is marked with a designation representing the subscriber for which the leaf stands. The leaf illustrated by the drawings is for subscriber P-200, and this designation appears on the stub A, which. extends lengthwise up and down the left-hand side of the leaf. Along the margin of said stub are a number of re.

ceipt-coupons B, B, and C, on all of which appears the same subscribers designation. A t the top of the stub A is the stub-section A', on which appear the words Balance due Aprill, 1901. S .from 4This'is to be used for noting any amount due from sub' .scriber P-200 on April 1, 1901.

tial payment is made on said balance, then the said payment is entered under Payments on the stub-section A and on the iirst coupon B and said coupon delivered to the subscriber. If thereafter a second partial payment on said balance is made, then that payment is entered in the next blank space under Payments on said stub-Section and onthe second coupon and the latter delivered to the subscriber. Further coupon-receipts B for partial payments may be used, if desired. On final payment of said balance or when all of said balance is paid in a single payment the last or final coupon B is detachedand delivered to the subscriber. .On each of said coupons B B appears the legend This receipt not good for payments beyond April 1, 1901. This legend is intended to make said coupon invalid for the receipt of any payment excepting such as isy to be ap Two coupons plied to the balance due at the beginning of the period of six months for which the page stands. This prevents the collector, who may be the carrier, and the subscriber from using IOO LII

an additional receipt therefor. The fact that he turns in definite evidence of having re* eeived such payment or payments makes it necessary for him to report upon said stubsection some amount or amounts less than the total of said balance, and as such report is necessarily made when he returns his book and as the name of the subscriber necessarily appears with the report the collector is practically compelled to make a true report. Vith the means at hand for promptly ascertaining the correctness of the report the collector is discouraged from making an incorrect report. lf the collector turns in his book with the final coupon B removed, then the book is evidence that he has collected and given his receipt for all of said balance, and all of said balance is of course then due from the collector.

Following the coupons B and B is a series of receipt-coupons C, one for each of the twenty-six weeks of the six months from April l to September 30, inclusive. Each of said coupons is a receipt for the payment due for the Week ending on the day printed upon the coupon. At the left of each of said coupons is a corresponding stub-section A?. On each of said stub-sections is printed the same date designation as appears upon the coupon attached thereto, the first of said coupons bearing the date designation April G and the correspondingr stub-section bearing the same date, dye. ln lieu of time items other items for which payment is made may be noted on said stub-sections and coupons, and where a time item is herein mentioned it is to be understood that any other item-as, for example, some commodity or servicewould be an equivalent. Said stubsections are numbered serially in both directions. At the left the numbering begins with l at the top of the series of said sections and ends at the bottom with 2G. At the right said numberingis reversed, beginning with l at the bottom and ending with 20 at the top. These serial numbers are used as an aid in determining the nu mber ofcoupons C removed or still remainingl attached to the leaf. If, for example, nine coupons have been removed from the upperportion of the page, the bookkeeper or cashier will, by glancing at said left-hand series of numbers, see that the collector has given out nine receipts and that he should pay over nine payments, and the cashier or sub scription-clerk can then also by glancing at said right-hand or reverse series of numbers see that seventeen payments are still to be collected from the subscriber for whom said leaf stands. If afterSeptember 2S (the date on the last coupon C) a balance is due from saidl subscriber, said balance is transferred to the stub-section A' of the leaf assigned to said subscriber for the ensuing six months, just as the last leaf may have received the entry of such aformer balance. At the foot of the leaf is a form for the entry of such paymentas said subscriber may make on or prior to September 2S to be applied beyond the latter date. In said form following the words Paid in advance is a blank for the entry of the date of said payment, and following this is a blank for the amount, and following the words In' full to is a blank for the entry of the date of the termination of the period covered by said payment. Such advance payment is entered into said form by the person making the collection (the cashier, subscription-clerk, carrier, or special collector) at the time it is received, and this record is preserved until the book or group of forms for the next six months is opened. Then said advance payment is entered in the new l'orm by the removal ot' coupons C sufficient to cover such paymentthat is, all the coupons to and including the date covered by said advance payment are removed and delivered to the subscriber or destroyed or filed for rei'- erence. At the leftot` the lower stubsections A2 is a blank space A3, bearing the word Rebates. This is for the entry of such rebates or deductions as may be made from charges entered against the subscriber. Between said blank space A3 and the stub-section A at the left of the stub-sections A2 may be placed blank lines accompanied, respectively, by the words Name, Addr-ess, How ol'ten collected, and Vhere collected, the first two of said blanks being for the name and address of the subscriber and the other two being for notations of the times and place of collecton. The space on said stub A not occupied by the blanks and stub-sections already described may be used for the entry of miscellaneous memoranda relating to said subscriber and the collection of payments from him. The stub-sections A2 are also for the entry of the date upon which the amount for which the corresponding coupon C stands is paid or accounted for by the'collector. The name or initials of the person making the elntry or other suitable designation crediting such payment or indicating satisfactory accounting in lieu of payment may also be placed upon such stub-section. The beginning ot' a subscription may be noted on the appropriate stub-section A2. Such an entry would indicate that the collector is not accountable for the coupons preceding said stubseetion. Discontinuances or transfers of subscribers to other collectors may also be ICO IIO

Figs. l and 2`is designated by P-200, P

being applied toall the subscribers onthat route and 200 being applied to only this one subscriber on that route. The subscriber preceding this one would have the designa- -tion P-1'99 and the one following would iers,Record'are intended to be used in conjunction with the` Collectors Book; but while the three cooperate to make a more convenient system it is tobe understood that the Collectors Book is capable of use separately from said two `books or in conjunction withonly one of them',

The index (illustrated by Fig.' 3) is to be used in connection with the said collection book orbooks. Said index consists of a` name-column O, address-column P, one orgm'ore route-columns Q, a date-of-entry column R, avdiscontinuance-column Se, a balance-column T, and.l .a payment-column U. The name-column is preferably divided into alphabetical sections, as indicated by the letters .A, 13,, and .f C. The names of subscribers areentered into said columns under their appropriateletters, and the corresponding addresses are written oppositein the address-column. In the iirstroute-column opposite each subscribers name is placed the subscribers designation used on theleaf of the collectors vbook standing for said subscriber. The name of the subscriber, C. H. Andrews, representedby the leafiillustrated by Figs. land 2 is entered.

into the name-column of said index, and into the space in the first route-columnl opposite said name is placed the correspondingdesigf nation I3-200.7 Should` said subscriber be transferred to another route, he may be` given a new designation identifying him with said kss new route and such newdesignation entered- -in the space occupied by the former designation or in the corresponding space in the nextv route-column, if more than one route-column is used. In the space in the column R opposite the name C. I-I. Andrews is written the.

date when said namewas entered `into said index.` The entries-in the nexttwo columns indicate that said subscriberv discontinued his subscription June v4, 1901, thatv he then` owed a balance of one dollar and sixty cents, and that he paid said balance on .lune 6,1901.

By theuse of only the first three columns of said index the collection-book andpage for any subscriber may be readily-ascertained; but the data enteredin the remaining columns will frequently lrender reference to the `tries of individual payments.

collectors book unnecessary. Said additional columns are therefore not essential, but a L great convenience.

' The cashiers record ofcollections (illustrated by Fig. 4) is intended to show. the sum collected from each subscriber during a week, the amountscollected by each collector during the same week, and the grand total of all collections for that week. lArranged horizontally across the top of said record are the letters used as parts of the subscribers desigf nations, said letters being at the same time designations of routes, as already described.` Under each said letter are two columns. In

one of these columns appear a series of num- Y bers ranging from 1 to a number high enough to include the total number .of subscribers onone route. .The other of said two columns is left blank for the reception of en- The use 'of said record will be readily understood. When the collectors books are returned4 by. thecollectors afterthe weekly collection-trip, the

cashier writes the appropriatedate into the blankV following the words W eek ending?? on thecashiers record.y Then hetakes any one of thevcollectors books jand. note's'in the corresponding column of said recordthe pay--v ments of that week, as indicated bythe abr sence-ofcoupons from said collector-s book.

For example, he takescollectorsbook .A, l" and on the first leaf he sees that-thesubscriber represented bylsaid leaf` (subscriber 4 IoozA-1) made n'opaym'entthat'week. Hence the cashier makes no entry inthe blank space y opposite 1 in the adjoining columnunless` he makes a suitable mark,as a dash,indicat ing that no payment was madebysaid subscriber. If the second leat' indicates a payment of thirty (30) cents,- the :"30 is.en

tered opposite 2, such' entryindicating that subscriber A-2 has during that week made a payment of thirty cents. f In this way all the payments from route A are ,iroY

entered. Then the numbers representing]I said payments are addedan'd the sumvplaced at the foot of saidcolumn.

Whenthe collec-` tions from all thecollectors books have been 'l thus entered on said record and the amount of collections from each route has been. noted l f in thespace V at the foot ofl theappropriate, column, the totals forall the routes are added,

and the grand total thusreceived is entered into the blank following'the words fTotal for week. Theu-therecord shows the payment made during thatweek by each'subscriber,the total collected 4by eachfcollector', f

and the grand total vofall the collections.

The cashiers record may also;serve as-a duplicate record `of paymentsby subscribers in case a collectors `bookis lost. i

Itis to benotedthat the`0ashiers Rec-Y ord.and the Indexof Subscribers,ias'` Well as the Collectors'Book, may betbound in book form o r that they oi' loose sheets.

may be in the form Vhile the foregoing description has made reference to collections from newspaper subscribers, it is obvious that my improvement is also applicableto the making of collections from other customers.

I claim as my invention- 1. A collection-form comprising a stub embodyin g a series of stub-sections, and receiptcoupons attached to said stub-sections, said coupons and said stubbearing a customers designation and every coupon and the corresponding stub-section bearing the same designation, said designation differing from similar designations applied to the other coupons and theirstubsections, and an appropriatelydesignated blank for receiving a record of a balance due at the beginning of the periodfor which said form stands, and a receipt-coupon bearing said customers designation and bearing matter representing payment on said balance, substantially as described.

2. A collection-form comprising a stub embodying a series of stub-sections bearing matterrepresentingsuccessive periods oftime and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, and an appropriately-designated blank for receiving,r a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and bearing matter representing payment on said balance, substantially as described.

3. A group of collection-forms, each comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time, and all the coupons ofthe same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, one common to all J[he forms of said group and the other being different from the corresponding part in all the other forms, and an appropriately-designated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and bearing matter representing payment on said balance, substantially as described.

4. In a collection system, a plurality of groups of forms, every form of any one of said groups comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the'same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed in part of a factor common to the forms of that group, but diiferent from the corresponding factors used for the others of said groups, and composed in part of another factor Which is different from the corresponding factor in all the forms of the same group, and an appropriately-designated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and, bearing matter representing payment on said balance, substantially as described.

5. A collection-form comprisinga stub embodying a series of stub-sections, and receiptcoupons attached to said stub-sections, said coupons and said stub bearing a customers designation and every coupon and the corresponding stub-section bearing the same designation, said designation diifering from similar designations applied to the other coupons and their stub-sections, and an appropriatelydesignated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-cou pon bearing said customers designation and bearing matter representing payment of said balance, substantially as described.

6. A collection-form comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, and an appropriately-designated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and bearing matter representing payment of said balance, substantially as described.

7. A group of collection-forms, each comprising a stub embodying a series of stub-sec tions bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indieating the same periods of time, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, one common to all the forms of said group and the other being different from the corresponding part in all the other forms, and an appropriately-designated blank for receiving a record of a balance duc at the beginning of the period for which said form stands, and a receipt-coupon bearin g IOO TIO

and bearing matter representing payments,

and. all the coupons of the same series "bearing an arbitrary'customers designation identical with a similar designation on the stub and composed in part of a factor common to all the forms of that group but different from the corresponding factors used for the others of saidrgroups, and composed in partof another factor which is different from the corresponding factor in all the forms of 'thesame group, and an appropriately-designated blank" for receiving a record of ay balance due at the beginning of the period for Which said form stands, and a receipt-coupon bearing said customers designationyand bearing matter representing payment of said balance, substan-y tially as described. y e

9. A collection-form comprising a stub embodying a series of stub-sections, and receiptand theirstub-sections, and an appropri-l ately-designated blank for receiving a record.

of a balance due at the beginning of the pe'- riodvfor which said fo'rm stands, and appropriately-designated blanks for noting payments on said balance, substantially as described.

10. A collection-form comprising a stub einbodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections Vand bearingvvmatter pei'- taining, respectively, to and indicating the saine periods of time and bearing matter representing payments, and all 'the couponsof the same series bearing `an arbitrary customers'designation identical with a similar designation on the stub and composed Iof two parts or factors,` and an appropriately-desig-v nated blank for receivingarecord'of a `balance due at the beginning of the period for which said form stands, and appropriately-l designated blanks for notingr payments on said balance,` substantially as described.

1l.V A group of collection-forms, each coinprising a stub embodying'a series of stubsectioiis bearing matter vrt'e'presenting successive periodsof time and a series of receipt-y coupons attached` to said stub-sections and bearing matter pertaining, respectively, to

and indicatingthe same periods of time andv bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with asimilar designation on the-stub and composed of two parts or factors, one common to all the forms'of said group and the other being different from the corresponding part in all the other forms, and an appropriately-designated blank for receiving a record of a balance due at the beginning ofthe periodfor which said form stands, and appropriately-designated blanks for noting payments on said balance, substantially as described.

.12. In a collection system, a plurality of groups of forms, every forni of any one of said groups'coinprising a stub embodying a series of stub-sections bearing matterv representing successive periods of time and a series of receipt-coupons attachedlto said stubsections and bearing matter pertaining, respectively, to and indicating the samep'eriods of time and bearing matter lrepresenting payments, and all the coupons of the same series bearing an arbitrary customers designation' identical With'a similar designation on the stuband composed in part of a factor common to the'forms of that group, but different froni the corresponding factors used for the others of -said groups', and composed in part of another factor which isidifferent from the corresponding factor in all theyforms of the same group, andan appropriately-designated blank 'for receiving a record of a balance diie at the beginning of the period for which said form stands, and appropriatelydesignated blanks forn'oting payments on said balance, substantially as described.

13. A collection-form comprising a stub embodying a lseries of stub-sections, and receipt-coupons attached to said stub-sections, said coupons and said stub-sectionsbearing a customers designationand every coupon and the corresponding stub-section bearing a designation differing from'j similar designations applied to the other coupons and'their stub sections, and an appropriately designated blank for receiving arecord ofa balfance due at the beginning of the period for which said formstands, and a receipt-coupon bearing matter representing a partialpayinent on said balance, "and alcoup'on'lvvh'icli i's a receipt in full for said balance, said coupons bearing said customers designation, substantially as described.

' f 14. A collection-form comprising a stub embodying a seriesof stub-sectionsv bearing matter representing successive periods of time and a series of receipt-coupons attached to saidstub-sections and bearingmatterpertaining, respectively, to and indicating the lsame periods of time and bearinginatter representing payments, 4and all the coupons of `the same series 'bearing|` an arbitrary cus- Vtomeiis designation' identical with a similar designation on-the stub and" composedozf tvvo partsor factors, and an appropriately-desig- IIO nated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing matter representing a partial pay- 5 ment on said balance, and a coupon which is a receipt in full for said balance, said coupons bearing said customer-s designation, substantially as described.

15. A group of collection-forms, each comprising a stub embodying a series of stubsections bearing matter representing successive periods of time and a series of receiptcoupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicatingr the same periods of time, and all coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed in part of two parts or factors, one coinmon to all the forms of said group and the other being different from the corresponding part in all the other forms, and an appropriatelydesignated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a roceipt-coupon bearing matter representing a partial payment on said balance, and a coupon which is a receipt in full for said balance, said coupons bearing said customers designation, substantially as described.

1G. In a collection system, a plurality of groups of forms, every form of any one of said groups comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time anda series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed in part of a factor common to the forms of that group, but different t5 from the corresponding factor used for the others of said groups, and composed in part of another factor which is different from the corresponding factor in all the forms of the same group, and an appropriately-designated ;o blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing mattei' representing a partial payment on said balance and a coupon which is a receipt in 5 full for said balance, said coupons bearing said customers designation, substantially as described.

17. A collection-form comprising a stub embodying a series of stub-sections, and receipto coupons attached to said stub-sections, said coupons and said stub bearing a customers designation and every coupon and the corresponding stub-section bearing the same designation, said designation differing from simi- 5 lar designations applied to other coupons and their stub-sections, and an appropriately-deslgnated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and matter representing payment on said balance, and an appropriately-designated blank for noting an amount paid beyond the period represented by said form, substantially as described.

lS. Acollection-form comprisingastub embodying a series of stub-sections bearing matter representing successive periods of time anda series of receipt-coupons attached to said stub-sections and bearing matterpertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of tWo parts or factors, and an appropriately-designated blank for receiving a record of a balance due at the beginning of the period for Which said form stands, and a receipt-coupon bearing said customers designation and mattei' representing payment on said balance, and au appropriately-designated blank for noting an amount paid beyond said period, substantially as described.

19. A group of collection-forms, each comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time, and bearing matter representing payments and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, one common to all the forms of said group and the other being different from the corresponding part in all the other forms, and an appropriatelydesignated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receiptcoupon bearing said customers designation and matter representing payment on said balance, and au appropriately-designated blank for noting an amount paid beyond said period, substantially as described.

20. In a collection system, a plurality of groups of forms, every form of any one of said groups comprising a stub embodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively,

to and indicating the same periods of time' and bearing mattei' representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed in part of a factor common to the forms of that group, but different from the corresponding factors used for the others of said groups, and composed in part of an- TOO IIO

other factor which is different in all the forms of the same group, and an appropriately-designated blank for receiving a record of `a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and matter representing payment on said balance, and a suitably-designated blank for noting an amount paid beyond said period, substantiallyas described.

21. A collection-form comprisinga stub embodying a series of stub-sections, and receiptcoupons attached to said st ub-sections, said coupons and said stub bearing a customers designation and every coupon and the correspondingstub-section bearing the same designation, said designation differing from similar designations applied to the other coupons, and their stub-sections, and an appropriatelydesignated blank for receiving a recordof a balance due at the beginning of the period for which said form stands, and a receiptcoupon bearing said customers designation and matter representing payment on said balance, and an appropriately-designated blank for noting a rebate, substantially as described.

22. Acollection-form comprisingastub embodyin g a series of stub-secti ons bearing matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matter pertaining, respectively, to and indicating the same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, and an appropriately-designated blank for receiving a record of a balance due at the beginningof the period for which said form stands, and a receipt-coupon bearing said customers designation and matter representing payment on said balance, and an appropriately-designated blank for noting a rebate, substantially as described.

23. A group of collection-forms, each comprising a stubembodying a series of stub-sections bearing matter representing successive periods of time and a series of receipt-couing matter pertaining, respectively,to^and indicating the same periods of time, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed of two parts or factors, one common to all the forms of said group and the other being diiferent from the corresponding part in all the other forms, an appropriately-designated blank for receiving a record of a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and matter representing payment on said balance, and an appropriately-designated blank for 'noting a rebate, substantially as described.

24. In a collection system, a plurality of groups of forms, every form of any one of said groups com prisinga stub embodying a series of stub-sections bearing-'matter representing successive periods of time and a series of receipt-coupons attached to said stub-sections and bearing matterpertaining, respectively, to and indicating the Same periods of time and bearing matter representing payments, and all the coupons of the same series bearing an arbitrary customers designation identical with a similar designation on the stub and composed in part of a factor common to the forms of that group, but different from the corresponding factors used for the others of said groups, and composed in part of another factor which is diiferent in all the forms of the same group, and an appropriately-designated blank for receiving a recordof a balance due at the beginning of the period for which said form stands, and a receipt-coupon bearing said customers designation and matter representing payment on said balance, and an appropriately-designated blank for noting a rebate, substantially as described.

In testimony whereof I affix my signature, in presence of two witnesses, this 20th day of June, 1901.

ALFRED F. SANFORD.

Witnesses: l

R. D. l-IoRToN, LUCY AWILCHFSTER. 

